Eq.

Number

EXCAVATOR Model Unit

BACK HOE BUCKET Date of Inspection

BODY - BUSHING - TEETH WEAR Hour Meter

Periodical Inspection Inspector Name

FIGURE NO DESCRIPTION STD MAX STD MIN ACTUAL REMARK

1 BUCKET TOOTH

2 LOCK, BUCKET TOOTH

G 3 TOOTH ADAPTER

E 4 TOPLOK

T 5 BASE EDGE 121 90

6 WING SHROUD

7 HEEL SHROUD

Bucket Skin

8 INNER WEAR PLATES 20 5

9 BUCKET SKIN 22 14
10 OUTER WEAR PLATES 20 5
Right Section

B 11 INNER WEAR PLATES 20 5

O 12 OUTER WEAR PLATES 20 5
D 13 SIDE PLATE 18 13
Y 14 SIDE CUTTER 60 40
Left Section

15 INNER WEAR PLATES 20 5

16 OUTER WEAR PLATES 20 5
17 SIDE PLATE 18 13
18 SIDE CUTTER 60 40
NO DESCRIPTION VISUAL CHECK CONDITION REMARK

B Bracket Structure Check :Lost,crack, wear & damage

R 19 PLATE, BRACKET MOUNTING

A 20 TOP BOX

C
K Bracket

E 21 FLANGE & BUSHING LINK BRACKET

T 22 FLANGE & BUSHING ARM BRACKET

Bucket Mounting Pin Check :Leaks, loose, scratch & damage

23 PIN, BUCKET

24 PIN COVER & SEAL

25 BOLT & WASHER

L
Bucket Link
I
N 26 FLANGE LINK TO BUCKET CYLINDER
K
, 27 BUSHING LINK TO BUCKET CYLINDER
28 FLANGE LINK TO BUCKET ROD
P
I 29 BUSHING LINK TO BUCKET ROD
N
, Bucket Cyl Pin
30 PIN, LINK TO BUCKET CYL
L
O 31 PIN COVER & SEAL
C
32 BOLT & WASHER
K
Bucket Link Pin

33 PIN, LINK TO BUCKET

34 PIN COVER & SEAL
35 BOLT & WASHER

Mengetahui
Mechanic / Inspector Leader / Foreman